Imaging prices at John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA · every code in this section with a posted price and a Medicare benchmark.
352 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 4 matching MRF lines |
$7,179.75–$21,650.40 | $15,955–$48,112 | varies |
| Abdomen 1 View (74018) | $226.80 | $504 | 1.8× |
| Abdomen 2 views (74019) | $332.89 | $739.75 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,138.29 | $4,751.75 | 3.8× |
| Angio internal mammary (75756) | $4,171.39 | $9,269.75 | 0.9× |
| Angio pulmonary bilat (75743) | $5,014.35 | $11,143 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $6,923.47 | $15,385.50 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $4,392.45 | $9,761 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,813.29 | $6,251.75 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,442.15 | $5,427 | 0.5× |
| Ankle 2 views (73600) | $209.36 | $465.25 | 1.7× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$3,877.31 | $8,616.25 | 0.5× |
| Artery X-Rays Abdomen (75726) | $4,024.91 | $8,944.25 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $6,586.87 | $14,637.50 | 1.5× |
| Artery X-Rays Pelvis (75736) | $4,228.09 | $9,395.75 | 0.5× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,967.86 | $6,595.25 | 0.4× |
| Arthrogram hip (73525) | $957.37 | $2,127.50 | 1.9× |
| Arthrogram Wrist (73115) | $315.56 | $701.25 | 0.6× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$727.42–$22,955.40 | $1,616.50–$51,012 | varies |
| Bone age studies (77072) | $79.65 | $177 | 0.5× |
| Bone Imaging 3 Phase (78315) | $3,066.30 | $6,814 | 5.4× |
| Bone Imaging Limited Area (78300) | $1,521.34 | $3,380.75 | 2.7× |
| Bone Imaging Whole Body (78306) | $2,761.31 | $6,136.25 | 4.9× |
| Bone survey infant (77076) | $1,218.71 | $2,708.25 | 8.3× |
| Brachytx isodose complex (77318) | $9,490.05 | $21,089 | 17.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,000.14 | $4,444.75 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,048.20 | $8,996 | 2.0× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $4,912.40 | $10,916.45 | 8.7× |
| Cat Scan Follow-Up Study (76380) | $939.94 | $2,088.75 | 7.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $599.74 | $1,332.75 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $10,841.51 | $24,092.25 | 14.1× |
| Chest 1 view (71045) | $248.51 | $552.25 | 2.0× |
| Chest 2 views (71046) | $298.24 | $662.75 | 2.4× |
| Chest 3 views (71047) | $347.85 | $773 | 2.8× |
| Chest 4 or more views (71048) | $372.71 | $828.25 | 2.5× |
| Clavicle complete (73000) | $232.09 | $515.75 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,087.65 | $2,417 | 7.4× |
| Continuing medical physics consltj pr wk (77336) range across 6 matching MRF lines |
$3,713.29–$26,870.85 | $8,251.75–$59,713 | varies |
| Contrast Exam Abdominl Aorta (75625) | $5,259.04 | $11,686.75 | 1.2× |
| Contrast X-Ray Bladder (74430) | $358.76 | $797.25 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $766.57 | $1,703.50 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $662.74 | $1,472.75 | 1.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $165.94 | $368.75 | 0.7× |
| Corpora cavernosography (74445) | $236.47 | $525.50 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,459.14 | $5,464.75 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $1,738.69 | $3,863.75 | 5.2× |
| CT abdomen w contrast (74160) | $1,825.76 | $4,057.25 | 7.4× |
| CT abdomen w wo contrast (74170) | $1,945.46 | $4,323.25 | 7.9× |
| CT abdomen w/o contrast (74150) | $1,481.40 | $3,292 | 10.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,337.32 | $9,638.50 | 8.8× |
| CT Angio Chest (71275) | $2,419.87 | $5,377.50 | 9.8× |
| CT Angio Head (70496) | $2,292.75 | $5,095 | 9.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,886.30 | $6,414 | 11.7× |
| CT Angio Neck (70498) | $2,519.66 | $5,599.25 | 10.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,398.04 | $3,106.75 | 5.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $818.94 | $1,819.86 | 3.3× |
| CT cervical spine w/ contrast (72126) | $1,685.59 | $3,745.75 | 3.4× |
| CT cervical spine w/o contrast (72125) | $1,652.40 | $3,672 | 11.2× |
| CT cervical spine w/wo cont (72127) | $1,732.39 | $3,849.75 | 7.0× |
| CT chest w contrast (71260) | $2,111.40 | $4,692 | 8.5× |
| CT chest w/wo contrast (71270) | $2,322.56 | $5,161.25 | 9.4× |
| CT head/brain with contrast (70460) | $1,428.41 | $3,174.25 | 5.8× |
| CT head/brain without and with contrast (70470) | $1,733.85 | $3,853 | 7.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,575.69 | $5,723.75 | 5.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $250 | $555.55 | 2.0× |
| CT iac w contrast (70481) | $1,657.46 | $3,683.25 | 6.7× |
| CT l-spine w&w/o contrast (72133) | $1,314.22 | $2,920.50 | 5.3× |
| CT lower ext w/o (73700) | $1,533.60 | $3,408 | 10.4× |
| CT lower extremity w/contrast material (73701) | $1,779.52 | $3,954.50 | 7.2× |
| CT lumbar spine w contrast (72132) | $2,297.14 | $5,104.75 | 4.7× |
| CT lumbar spine w/o contrast (72131) | $2,251.91 | $5,004.25 | 15.3× |
| CT maxillofacial w contrast (70487) | $1,690.76 | $3,757.25 | 6.8× |
| CT maxillofacial wo contrast (70486) | $1,302.75 | $2,895 | 8.8× |
| CT neck tissue combo (70492) | $1,647.45 | $3,661 | 6.7× |
| CT orbits w/o contrast (70480) | $1,618.20 | $3,596 | 11.0× |
| CT pelvis w&w/o contrast (72194) | $1,122.30 | $2,494 | 4.5× |
| CT pelvis w/o contrast (72192) | $1,875.37 | $4,167.50 | 12.7× |
| CT scans face/jaw combo (70488) | $1,921.16 | $4,269.25 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,779.52 | $3,954.50 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $1,421.44 | $3,158.75 | 9.6× |
| CT thoracic spine w contrast (72129) | $1,907.66 | $4,239.25 | 7.7× |
| CT thoracic spine w/o contrast (72128) | $1,695.15 | $3,767 | 11.5× |
| CT thoracic spine w/wo cont (72130) | $889.76 | $1,977.25 | 3.6× |
| CT thorax w/o contrast (71250) | $2,038.84 | $4,530.75 | 13.8× |
| CT upper ext wo (73200) | $1,798.99 | $3,997.75 | 12.2× |
| CT upper extremity with contrast (73201) | $1,834.65 | $4,077 | 3.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,999.70 | $6,666 | 12.1× |
| Cta Abdomen (74175) | $2,344.39 | $5,209.75 | 9.5× |
| CTA pelvis (72191) | $1,833.30 | $4,074 | 7.4× |
| Dxa Bone Density Axial (77080) | $456.75 | $1,015 | 3.1× |
| Dxa bone density study (77085) | $571.50 | $1,270 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $270.34 | $600.75 | 2.2× |
| Echo exam uterus (76831) | $288.34 | $640.75 | 0.9× |
| Echo Guide For Artery Repair (76936) | $756.45 | $1,681 | 2.5× |
| Esophagram (74220) | $548.55 | $1,219 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $745.20 | $1,656 | 2.2× |
| Follow-Up Angiography (75898) | $2,239.65 | $4,977 | 0.5× |
| Foot 2 views (73620) | $238.61 | $530.25 | 1.9× |
| Forearm 2 views (73090) | $243.11 | $540.25 | 2.0× |
| Gastric emptying imaging study (78264) | $2,645.55 | $5,879 | 4.7× |
| Gated Heart Planar Single (78472) | $2,037.69 | $4,528.20 | 3.6× |
| Hand 2 views (73120) | $238.61 | $530.25 | 1.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,442.16 | $7,649.25 | 3.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,209.84 | $4,910.75 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,340.45 | $5,201 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $4,804.80 | $10,677.33 | 6.3× |
| Hepatobiliary System Imaging (78226) | $1,405.93 | $3,124.30 | 2.5× |
| Ht Musc Image Planar Mult (78454) | $2,269.35 | $5,043 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $6,733.19 | $14,962.65 | 3.7× |
| Hysterosalpingogram (74740) | $188.44 | $418.75 | 0.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $900.79 | $2,001.75 | 7.3× |
| Infant hip ultrasound, limited static exam (76886) | $689.62 | $1,532.50 | 5.6× |
| Infusion Ivp (74410) | $296.21 | $658.25 | 1.2× |
| Interstitial radiation source applic complex (77778) | $3,290.17 | $7,311.50 | 3.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,006.79 | $6,681.75 | 3.1× |
| Intraop radiaj tx deliver xray single tx session (77424) range across 2 matching MRF lines |
$2,702.02–$58,414.47 | $6,004.50–$129,809.93 | varies |
| Joint Survey Single View (77077) | $242.10 | $538 | 1.6× |
| K Flow/Funct Image Multiple (78709) | $5,749.65 | $12,777 | 7.5× |
| K Flow/Funct Image W/Drug (78708) | $4,221.28 | $9,380.63 | 5.5× |
| K Flow/Funct Image W/O Drug (78707) | $2,170.57 | $4,823.50 | 2.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,796.41 | $6,214.25 | 5.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,910.47 | $4,245.50 | 3.4× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$4,814.82–$4,933.28 | $10,699.60–$10,962.85 | varies |
| Lung perfusion differential (78597) | $2,385.67 | $5,301.50 | 4.2× |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$5,237.71–$5,535.94 | $11,639.35–$12,302.10 | varies |
| Lymph System Imaging (78195) range across 5 matching MRF lines |
$3,040.65–$57,062.45 | $6,757–$126,805.45 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,535.64 | $5,634.75 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $1,590.41 | $3,534.25 | 4.7× |
| Magnetic Resonance Elastography (76391) | $971.21 | $2,158.25 | 2.9× |
| Mammary ductogram or galactogram multiple (77054) | $433.69 | $963.75 | 1.3× |
| Mammary ductogram or galactogram single (77053) | $247.50 | $550 | 0.7× |
| Meckels Divert Exam (78290) | $1,756.61 | $3,903.58 | 3.1× |
| Mlc imrt design & construction per imrt plan (77338) range across 5 matching MRF lines |
$6,378.52–$34,450.20 | $14,174.50–$76,556 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,966.40 | $6,592 | 6.0× |
| MRA head w/o contrast (70544) | $2,693.02 | $5,984.50 | 8.0× |
| MRA head with contrast (70545) | $2,048.85 | $4,553 | 4.2× |
| MRA neck w contrast (70548) | $1,987.09 | $4,415.75 | 4.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,228.65 | $9,397 | 8.6× |
| MRA neck w/o contrast (70547) | $2,498.85 | $5,553 | 7.4× |
| MRI abdomen w contrast (74182) | $2,348.77 | $5,219.50 | 4.8× |
| MRI abdomen w/o contrast (74181) | $2,382.75 | $5,295 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,254.50 | $5,010 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,403.90 | $5,342 | 4.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,173.05 | $4,829 | 2.0× |
| MRI brain functional w/o physician admnistration (70554) | $1,850.85 | $4,113 | 5.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,584.02 | $7,964.50 | 10.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,709.45 | $6,021 | 8.0× |
| MRI cervical spine w contrast (72142) | $2,710.80 | $6,024 | 5.5× |
| MRI cervical spine w/o cont (72141) | $2,657.25 | $5,905 | 7.9× |
| MRI chest w/o contrast (71550) | $1,741.50 | $3,870 | 5.2× |
| MRI chest with contrast (71551) | $2,260.91 | $5,024.25 | 2.0× |
| MRI chest wo w contrast (71552) | $3,837.60 | $8,528 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,204.77 | $4,899.50 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,380.05 | $5,289 | 4.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,967.85 | $4,373 | 5.8× |
| MRI lumbar spine w contrast (72149) | $2,366.21 | $5,258.25 | 4.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,305.59 | $7,345.75 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,712.70 | $3,806 | 5.1× |
| MRI orbit face neck w contrast (70542) | $2,228.85 | $4,953 | 4.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,401.55 | $7,559 | 6.9× |
| MRI pelvis w contrast (72196) | $2,275.31 | $5,056.25 | 4.6× |
| MRI pelvis w/o & w contrast (72197) | $4,018.39 | $8,929.75 | 8.2× |
| MRI pelvis w/o contrast (72195) | $2,488.95 | $5,531 | 7.4× |
| MRI spectroscopy (76390) | $1,523.25 | $3,385 | 12.4× |
| MRI thoracic spine w/o contrast (72146) | $2,704.05 | $6,009 | 8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,035.91 | $4,524.25 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,463.30 | $5,474 | 7.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,577.85 | $10,173 | 9.3× |
| MRI, abdomen, combo (74183) | $4,081.39 | $9,069.75 | 8.3× |
| MRI, dorsal spine combo (72157) | $3,507.75 | $7,795 | 7.1× |
| MRI, dorsal spine contrast (72147) | $2,778.97 | $6,175.50 | 5.6× |
| MRI, joint upper extrem (73221) | $2,130.19 | $4,733.75 | 6.3× |
| MRI, joint upper extrem combo (73223) | $2,713.95 | $6,031 | 5.5× |
| MRI, lumbar spine combo (72158) | $3,418.65 | $7,597 | 6.9× |
| Myelogram cervical (72240) | $1,042.65 | $2,317 | 0.9× |
| Myelogram Lumbar (72265) | $942.41 | $2,094.25 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $1,292.96 | $2,873.25 | 1.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,383.87 | $5,297.50 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $8,095.23 | $17,989.40 | 4.4× |
| N-invas est c ffr sw aly CTA (75580) | $2,656.69 | $5,903.75 | 2.2× |
| Neck soft tissue (70360) | $226.24 | $502.75 | 1.8× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 4 matching MRF lines |
$13,709.02–$44,805.94 | $30,464.50–$99,568.75 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 3 matching MRF lines |
$6,360.07–$129,458.09 | $14,133.50–$287,684.64 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,948.06–$30,753.45 | $6,551.25–$68,341 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $1,455.19 | $3,233.75 | 9.9× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $358.31 | $796.25 | 2.9× |
| Panoramic X-ray of jaws (70355) | $102.94 | $228.75 | 0.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,666.81 | $5,926.25 | 3.5× |
| Parathyroid Planar Imaging (78070) | $497.14 | $1,104.75 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,868.86 | $6,375.25 | 5.1× |
| Pelvis 1 or 2 views (72170) | $304.65 | $677 | 2.1× |
| Peritoneogram Rs&I (74190) | $1,019.14 | $2,264.75 | 1.3× |
| Pet Image W/Ct Lmtd (78814) | $24,216.95 | $53,815.45 | 12.0× |
| PET image w/CT, full body (78816) | $5,378.38 | $11,951.95 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,270.71 | $11,712.70 | 2.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,537.21 | $5,638.25 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,708.54 | $3,796.75 | 3.0× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,773.52 | $3,941.16 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $393.07 | $873.50 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,131.30 | $2,514 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $279.34 | $620.75 | 2.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $183.49 | $407.75 | 1.5× |
| Radex elbow complete minimum 3 views (73080) | $275.85 | $613 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $377.21 | $838.25 | 2.6× |
| Radex fingr minimum 2 views (73140) | $210.71 | $468.25 | 1.7× |
| Radex foot complete minimum 3 views (73630) | $270.34 | $600.75 | 2.2× |
| Radex Hand Minimum 3 Views (73130) | $267.52 | $594.50 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $313.20 | $696 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $259.99 | $577.75 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $248.51 | $552.25 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) | $310.61 | $690.25 | 2.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $171.11 | $380.25 | 1.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $86.06 | $191.25 | 0.3× |
| Radex Spine 1 View Specify Level (72020) | $253.57 | $563.50 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $304.20 | $676 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $242.10 | $538 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $210.71 | $468.25 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) | $103.95 | $231 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $261.90 | $582 | 2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $504.45 | $1,121 | 3.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $24,372.22 | $54,160.50 | 2.3× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$3,721.95–$15,724.01 | $8,271–$34,942.25 | varies |
| Radiation treatment delivery level 2 (77407) range across 4 matching MRF lines |
$4,812.75–$48,963.71 | $10,695–$108,808.25 | varies |
| Radiation treatment delivery level 3 (77412) range across 6 matching MRF lines |
$1,094.62–$13,781.02 | $2,432.50–$30,624.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $471.60 | $1,048 | 3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $339.41 | $754.25 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $824.74 | $1,832.75 | 3.3× |
| Radiologic exam colon single contrast study (74270) | $610.65 | $1,357 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$351.34–$702.56 | $780.75–$1,561.25 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $384.64 | $854.75 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $726.41 | $1,614.25 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $621.67 | $1,381.50 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $699.64 | $1,554.75 | 2.8× |
| Radiologic examination femur 1 view (73551) | $198.45 | $441 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $267.52 | $594.50 | 2.2× |
| Radiologic examination knee 1/2 views (73560) | $261.90 | $582 | 2.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $259.99 | $577.75 | 2.1× |
| Ribs bilateral 3 views (71110) | $372.71 | $828.25 | 2.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $390.15 | $867 | 0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $481.84 | $1,070.75 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,049.85 | $2,333 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,414.02–$7,979.80 | $5,364.50–$17,732.90 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,439.34 | $5,420.75 | 1.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
$8,333.26–$303,664.16 | $18,518.36–$674,809.25 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $79,100.83 | $175,779.63 | 240.1× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$160,782.75–$160,790.35 | $357,294.99–$357,311.89 | varies |
| Scapula (73010) | $278.44 | $618.75 | 1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $32.51 | $72.25 | 1.4× |
| Shoulder 1 view (73020) | $285.86 | $635.25 | 2.3× |
| Shoulder Arthrography (73040) | $486.56 | $1,081.25 | 1.0× |
| Skull less than 4 views (70250) | $274.95 | $611 | 1.9× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$929.02–$9,738.56 | $2,064.50–$21,641.25 | varies |
| Special Physics Consult (77370) range across 4 matching MRF lines |
$1,446.30–$23,780.81 | $3,214–$52,846.25 | varies |
| Special teletherapy port plan (77321) range across 4 matching MRF lines |
$6,960.26–$29,746.80 | $15,467.25–$66,104 | varies |
| Special treatment procedure (77470) range across 5 matching MRF lines |
$8,316.22–$42,005.81 | $18,480.50–$93,346.25 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$14,059.35–$31,081.50 | $31,243–$69,070 | varies |
| Sternoclavicular joints (71130) | $102.04 | $226.75 | 0.8× |
| Superior sagittal sinus venogram (75870) | $1,943.44 | $4,318.75 | 0.4× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) range across 2 matching MRF lines |
$2,178–$4,356 | $4,840–$9,680 | varies |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $3,044.70 | $6,766 | 57.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$9,511.09–$13,943.02 | $21,135.75–$30,984.50 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$3,478.50–$4,549.16 | $7,730–$10,109.25 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 5 matching MRF lines |
$3,146.62–$43,299.90 | $6,992.50–$96,222 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,222.99 | $2,717.75 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) range across 6 matching MRF lines |
$8,839.69–$15,637.05 | $19,643.75–$34,749 | varies |
| Thoracic spine 2 views (72070) | $415.46 | $923.25 | 2.8× |
| Thoracic spine 3 views (72072) | $442.35 | $983 | 3.0× |
| Thoracolumbar 2 views (72080) | $306.67 | $681.50 | 2.5× |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$20,542.16–$28,885.05 | $45,649.25–$64,189 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,914.75–$2,397.60 | $4,255–$5,328 | varies |
| Tx Devices Design & Construction Complex (77334) range across 5 matching MRF lines |
$1,074.60–$29,746.80 | $2,388–$66,104 | varies |
| Tx devices design & construction intermediate (77333) range across 4 matching MRF lines |
$706.50–$22,191.52 | $1,570–$49,314.50 | varies |
| Tx devices design & construction simple (77332) range across 6 matching MRF lines |
$611.66–$16,582.05 | $1,359.25–$36,849 | varies |
| Ultrasound Breast Limited (76642) | $303.52 | $674.50 | 2.5× |
| Ultrasound Elastography Parenchyma (76981) | $466.20 | $1,036 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) | $623.14 | $1,384.75 | 4.2× |
| Ultrasound, abdomen limited (76705) | $734.85 | $1,633 | 5.0× |
| Umbilical-artery Doppler (OB) (76820) | $571.50 | $1,270 | 3.9× |
| Unlisted Dx Radiographic Procedure (76499) | $3,302.10 | $7,338 | 26.9× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$4,630.95–$7,843.95 | $10,291–$17,431 | varies |
| Upper gi w/o kub (74240) | $685.69 | $1,523.75 | 2.8× |
| Urethrocystogram voiding (74455) | $561.04 | $1,246.75 | 1.7× |
| Urethrocystography retrograde (74450) | $394.09 | $875.75 | 1.2× |
| Us breast unilateral complete (76641) | $338.96 | $753.25 | 2.3× |
| Us chest (76604) | $586.35 | $1,303 | 4.0× |
| Us complete joint (76881) | $1,031.51 | $2,292.25 | 7.0× |
| Us exam, pelvic, limited (76857) | $356.85 | $793 | 2.4× |
| Us head (76506) | $216.45 | $481 | 1.5× |
| Us kidney transplant (76776) | $1,645.42 | $3,656.50 | 11.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $653.40 | $1,452 | 4.4× |
| Us ob detailed single fetus (76811) | $576.56 | $1,281.25 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $586.35 | $1,303 | 4.0× |
| Us ob transvaginal (76817) | $461.59 | $1,025.75 | 3.1× |
| Us pelvic non ob complete (76856) | $721.46 | $1,603.25 | 4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $881.10 | $1,958 | 6.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,079.10 | $2,398 | 7.3× |
| Us retroperitoneal complete (76770) | $731.92 | $1,626.50 | 5.0× |
| Us retroperitoneal limited (76775) | $514.80 | $1,144 | 3.5× |
| Us scrotum and contents (76870) | $546.19 | $1,213.75 | 3.7× |
| Us spinal canal and contents (76800) | $394.09 | $875.75 | 2.7× |
| Us thyroid (76536) | $591.30 | $1,314 | 4.0× |
| Us transrectal (76872) | $526.61 | $1,170.25 | 3.6× |
| Vein X-Ray Chest (75827) | $4,618.91 | $10,264.25 | 2.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,451.26 | $5,447.25 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $2,787.64 | $6,194.75 | 0.6× |
| Venogram Sinus/Jugular (75860) | $2,167.09 | $4,815.75 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $5,295.15 | $11,767 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $576.56 | $1,281.25 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $1,496.02 | $3,324.50 | 0.7× |
| Venography Renal Unilateral (75831) | $2,570.29 | $5,711.75 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $197.44 | $438.75 | 1.6× |
| Wrist 2 views (73100) | $252 | $560 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $196.87 | $437.50 | 1.6× |
| X-ray antegrade pyelogram tube (74425) | $332.89 | $739.75 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) | $6,578.21 | $14,618.25 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $332.89 | $739.75 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $258.97 | $575.50 | 2.1× |
| X-Ray Exam Breast Specimen (76098) | $310.61 | $690.25 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $184.95 | $411 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $494.89 | $1,099.75 | 3.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $499.39 | $1,109.75 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $302.74 | $672.75 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $340.42 | $756.50 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $597.37 | $1,327.50 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $497.47 | $1,105.50 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $613.69 | $1,363.75 | 4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $613.69 | $1,363.75 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $605.25 | $1,345 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $388.57 | $863.50 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $418.84 | $930.75 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $428.85 | $953 | 2.9× |
| X-ray eye for foreign body (70030) | $173.47 | $385.50 | 1.4× |
| X-ray humerus (73060) | $278.89 | $619.75 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $501.30 | $1,114 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $132.30 | $294 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $285.86 | $635.25 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $427.95 | $951 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $161.10 | $358 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $444.71 | $988.25 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $300.15 | $667 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $292.27 | $649.50 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $318.04 | $706.75 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $318.49 | $707.75 | 2.2× |
| X-Ray Stress View (77071) | $145.24 | $322.75 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $447.19 | $993.75 | 3.0× |
| X-Ray Tmj Unilat (70328) | $130.39 | $289.75 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $949.95 | $2,111 | 1.9× |
| X-Rays Bone Length Studies (77073) | $305.77 | $679.50 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $647.44 | $1,438.75 | 4.4× |
| Xr c-spine 4 or 5 views (72050) | $424.01 | $942.25 | 2.9× |
| Xr facial bones less than 3 views (70140) | $172.57 | $383.50 | 1.4× |
| Xr orbits complete 4 views (70200) | $280.35 | $623 | 1.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.